Skinner Amy M, O'Neill S Lee, Grompe Markus, Kurre Peter
Department of Pediatrics, Oregon Health and Science University, Portland, OR 97239, USA.
Exp Hematol. 2008 Mar;36(3):273-82. doi: 10.1016/j.exphem.2007.11.006.
Bone marrow failure is a near-universal occurrence in patients with Fanconi anemia (FA) and is thought to result from exhaustion of the hematopoietic stem cell (HSC) pool. Retrovirus-mediated expression of the deficient protein corrects this phenotype and makes FA a candidate disease for HSC-directed gene therapy. However, inherent repopulation deficits and stem cell attrition during conventional transduction culture prevent therapeutic chimerism.
We previously reported rapid transduction protocols to limit stem cell losses after ex vivo culture. Here we describe a complementary strategy intended to improve repopulation through upregulation of chemokine receptor (CXCR) 4, a principal factor in hematopoietic homing.
Using murine models with transgenic disruption of Fanca, -c, and -d2, we found that c-kit(+) and sca-1(+) progenitor cells express levels of CXCR4 comparable with those of wild-type littermates. Lineage-depleted progenitor populations rapidly upregulated CXCR4 transcript and protein in response to cytokine stimulation or hypoxia, regardless of genotype. Hypoxia conditioning of lineage-depleted Fancc(-/-) progenitors also reduced oxidative stress, improved in vitro migration and led to improved chimerism in myeloablated recipients after transplantation.
These studies provide evidence that CXCR4 regulation in progenitor cells from transgenic mice representing multiple FA genotypes is intact and that modulation of homing offers a potential strategy to offset the FA HSC repopulation deficiency.
骨髓衰竭在范可尼贫血(FA)患者中几乎普遍存在,被认为是造血干细胞(HSC)池耗竭所致。逆转录病毒介导的缺陷蛋白表达可纠正此表型,使FA成为HSC定向基因治疗的候选疾病。然而,传统转导培养过程中固有的再增殖缺陷和干细胞损耗阻碍了治疗性嵌合体的形成。
我们之前报道了快速转导方案,以限制体外培养后的干细胞损失。在此,我们描述一种互补策略,旨在通过上调趋化因子受体(CXCR)4(造血归巢的主要因子)来改善再增殖。
利用Fanca、-c和-d2基因被转基因破坏的小鼠模型,我们发现c-kit(+)和sca-1(+)祖细胞表达的CXCR4水平与野生型同窝仔相当。无论基因型如何,谱系清除的祖细胞群体在细胞因子刺激或缺氧反应中会迅速上调CXCR4转录本和蛋白。对谱系清除的Fancc(-/-)祖细胞进行缺氧预处理还可降低氧化应激,改善体外迁移,并在移植后提高清髓受体中的嵌合率。
这些研究提供了证据,表明代表多种FA基因型的转基因小鼠祖细胞中的CXCR4调节是完整的,并且归巢调节为弥补FA HSC再增殖缺陷提供了一种潜在策略。